| Doctor Name: | MR. JOHN CHRISTOPHER TRAFFANSTEDT |
| NPI Number: | 1134423064 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | REVEREND; CPLC |
| License Number: | |
| Business Practice Address: | 330 N Pebble Creek Ter Apt. 102 Mustang, OK - 730644234 |
| Business Phone Number: | 4056287250 |
| Business Fax Number: | |
| Mailing Address: | 330 N Pebble Creek Ter, Apt. 102 MUSTANG |
| State: | OK |
| Postal Code: | 730644234 |
| Phone Number: | 4056287250 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2011 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |